Causes clubbing
Idiopathic Familial Cyanotic heart disease Atrial myxoma SBE
Chronic supporitive lung disorder (bronchiectasis, CF, chronic lung abscess)
Lung cancer
Idiopathic pulmonary fibrosis
Cirrhosis
IBD
Coeliac
Thyroid acropachy
Causes spider naevi
(Anything causing oestrogen excess)
Normal in children Pregnant OCP Cirrhosis Thyrotoxicosis
Causes acanthosis nigricans
T2DM Thyroid disease Obesity Acromegaly Cushings disease Paraneoplastic
Causes gynaecomastia
Idiopathic Liver disease Renal disease Spironolactone Thyrotoxicosis Klinefelters